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Individual

GEORGE PSEVDOS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
1000 10TH AVE, ST. LUKE'S ROOSEVELT HOSPITAL CENTER, SUITE 2T, NEW YORK, NY 10019-1147
(212) 523-6500
(212) 523-7182
Mailing address
PO BOX 95000-2240, PHILADELPHIA, PA 19195-2240
(212) 523-6500
(212) 523-7182

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
227834
NY
207RI0200X
Infectious Disease Physician
227834
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02674028
NY
Enumeration date
08/09/2006
Last updated
10/16/2012
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